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* 1. Please enter the information below

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* 2. Please enter your status with Montgomery College

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* 3. By checking the box below, you agree to and acknowledge that a third party vendor (Amazon) will ship items to your home address if you are a selected winner.

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* 4. Please enter your contact information below if you agree to the statement above.

  

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* 5. I voluntarily grant Montgomery College the right to unrestricted permission to use my name and image in any photos taken or made on behalf of the college or its partners. I release, waive, forever discharge, hold harmless, and covenant not to sue MontgomeryCollege, its trustees, employees, students, contractors, agents, or representatives relating to the distribution or use of my photos made by Montgomery College.

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